JACKIE ROBINSON FOUNDATION, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1991-01-01
Business code	813000
Sponsor’s telephone number	2122908600
Plan sponsor’s address	75 VARICK STREET, 2ND FLOOR, NEW YORK, NY, 10013

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1991-01-01
Business code	813000
Sponsor’s telephone number	2122908600
Plan sponsor’s address	75 VARICK STREET, 2ND FLOOR, NEW YORK, NY, 10013

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1991-01-01
Business code	813000
Sponsor’s telephone number	2122908600
Plan sponsor’s address	75 VARICK STREET, 2ND FLOOR, NEW YORK, NY, 10013

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1991-01-01
Business code	813000
Sponsor’s telephone number	2122908600
Plan sponsor’s address	75 VARICK STREET, 2ND FLOOR, NEW YORK, NY, 10013

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1991-01-01
Business code	813000
Sponsor’s telephone number	2122908600
Plan sponsor’s address	75 VARICK STREET, 2ND FLOOR, NEW YORK, NY, 10013

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1991-01-01
Business code	813000
Sponsor’s telephone number	2122908600
Plan sponsor’s address	75 VARICK STREET, 2ND FLOOR, NEW YORK, NY, 10013

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1991-01-01
Business code	813000
Sponsor’s telephone number	2122908600
Plan sponsor’s address	75 VARICK STREET, 2ND FLOOR, NEW YORK, NY, 10013

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1991-01-01
Business code	813000
Sponsor’s telephone number	2122908600
Plan sponsor’s address	75 VARICK STREET, NEW YORK, NY, 10013

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1991-01-01
Business code	813000
Sponsor’s telephone number	2122908600
Plan sponsor’s address	75 VARICK STREET, NEW YORK, NY, 10013

Signature of

Role	Plan administrator
Date	2016-10-14
Name of individual signing	LA TONYA JOHNSON

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1991-01-01
Business code	813000
Sponsor’s telephone number	2122908600
Plan sponsor’s address	75 VARICK STREET, NEW YORK, NY, 10013

Signature of

Role	Plan administrator
Date	2015-10-15
Name of individual signing	LA TONYA JOHNSON

In Care of Name	% LATONYA JOHNSON
Group Exemption Number	0000
Subsection	Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation	Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification	Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility	Contributions are deductible.
Foundation	Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period	2023-06
Asset	10,000,000 to 49,999,999
Income	10,000,000 to 49,999,999
Filing Requirement	990 (all other) or 990EZ return
PF Filing Requirement	No 990-PF return
Accounting Period	Jun
Asset Amount	42151973
Income Amount	13765403
Form 990 Revenue Amount	8609754
National Taxonomy of Exempt Entities	-
Sort Name	-

Publication 78 Data

Description	Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List	Yes
Deductibility	Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name	JACKIE ROBINSON FOUNDATION INC
EIN	13-2896345
Tax Period	202206
Filing Type	E
Return Type	990
File	View File
Organization Name	JACKIE ROBINSON FOUNDATION INC
EIN	13-2896345
Tax Period	202106
Filing Type	E
Return Type	990
File	View File
Organization Name	JACKIE ROBINSON FOUNDATION INC
EIN	13-2896345
Tax Period	202006
Filing Type	E
Return Type	990
File	View File
Organization Name	JACKIE ROBINSON FOUNDATION INC
EIN	13-2896345
Tax Period	201906
Filing Type	E
Return Type	990
File	View File
Organization Name	JACKIE ROBINSON FOUNDATION INC
EIN	13-2896345
Tax Period	201906
Filing Type	P
Return Type	990T
File	View File
Organization Name	JACKIE ROBINSON FOUNDATION INC
EIN	13-2896345
Tax Period	201806
Filing Type	E
Return Type	990
File	View File
Organization Name	JACKIE ROBINSON FOUNDATION INC
EIN	13-2896345
Tax Period	201706
Filing Type	E
Return Type	990
File	View File
Organization Name	JACKIE ROBINSON FOUNDATION INC
EIN	13-2896345
Tax Period	201606
Filing Type	E
Return Type	990
File	View File

Loan Status Date	2022-04-19
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	350000
Loan Approval Amount (current)	350000
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	224780
Servicing Lender Name	New York Business Development Corporation
Servicing Lender Address	50 Beaver Street, Albany, NY, 12207-1538
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	New York, NEW YORK, NY, 10013-1947
Project Congressional District	NY-10
Number of Employees	20
NAICS code	813211
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Non-Profit Organization
Originating Lender ID	224780
Originating Lender Name	New York Business Development Corporation
Originating Lender Address	Albany, NY
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	354372.6
Forgiveness Paid Date	2021-08-04